MR. WILLIAM CHARLES PETERSON PA-C NPI 1982644084

NPI Information

NPI: 1982644084
Provider Name: MR. WILLIAM CHARLES PETERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161
Phone: (858) 642-1012
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MR. William Charles Peterson, PA-C is a medical physician assistant in San Diego, CA. MR. William Charles Peterson, PA-C NPI is 1982644084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161-002
Phone: (858) 642-1012

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 18006	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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